| NPI | 1336477637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID HUFFORD Owner 765-593-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39002279A) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2012-02-15 |